Pharmacist, Formulary & Clinical Strategy

Responsibilities

• Interpret formulary and clinical program performance data to identify trends and opportunities
• Translate data findings into actionable clinical recommendations for leadership
• Incorporate AI tools into daily workflow for literature review, PA criteria drafting, and data summarization
• Support development, maintenance, and updating of formularies and drug lists
• Develop and maintain prior authorization criteria and clinical coverage policies
• Partner cross-functionally with Product, Data & Insights, Cost of Goods, and Client Operations
• Provide clinical support to operational teams and clients during implementation and ongoing management

Requirements

• PharmD required; active pharmacist licensure in at least one US state
• 1–3 years of experience in managed care pharmacy, health plan, or PBM (or PGY1/PGY2 residency)
• Proficient with AI tools in a p...